JERSEY SHORE AQUARIUM SOCIETY

2019 SPRING AUCTION

SUNDAY MARCH 10th

SELLER REGISTRATION FORM

Please fill in all fields including your email address.
First Name Last Name
Street Address City
State Zip Code

Are You a Jersey Shore Aquarium Society member?

Yes No

Phone Email Address


  1. Description field should contain the common and /or the scientific name of the fish or plant and if they are a “Mated Pair”, “Trio” or “Pair”.
  2. The quantity field should contain the number of fish in the bag. So if you have a trio of Rams the quantity is 3 not 1.
  3. Use one line for each bag. 4 bags of Java fern need to be entered on 4 lines, not 1 line, with the description of “Java Fern” and the quantity set to 1.
  4. If you want this item to be a 100% donation to JSAS please click "YES" on the “Donation” check box.
  5. There will be a $5.00 fee for any lots that need to be re-bagged
  6. If you have more than 15 items - Please submit additional forms

Item 1 Quantity
Donation Yes
Item 2 Quantity
Donation Yes
Item 3 Quantity
Donation Yes
Item 4 Quantity
Donation Yes
Item 5 Quantity
Donation Yes
Item 6 Quantity
Donation Yes
Item 7 Quantity
Donation Yes
Item 8 Quantity
Donation Yes
Item 9 Quantity
Donation Yes
Item 10 Quantity
Donation Yes
Item 11 Quantity
Donation Yes
Item 12 Quantity
Donation Yes
Item 13 Quantity
Donation Yes
Item 14 Quantity
Donation Yes
Item 15 Quantity
Donation Yes


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